(System) Issues Notice of Decision on Application for Cash, Medical and/or Food Stamps (Form 360C), showing the availability date and amount of the IPE and the regular monthly benefit. Form 360C is dated and mailed centrally
no later than 2 workdays following the date the approval is processed.

(System) Places case on regular roll for August.

Example 2: Exception to Central Prorating

(FCRC)

Approve Category 03 case in Schedule 03 using TA 12.

The first regular roll month is September.

The application date is July 1.

The client does not reside in a sheltered care home. The first day of the IPE period is July 31 (July 31 is 30 days after date of application). Enter 07/31/YY in Item 2.

Issue disbursing order for $20.

Medical eligibility date (Item 77) is April 1 (first day of 3rd month before date of application).

Calculate regular monthly benefit effective September as follows:

Personal Allowance

$62.43

Code 107 RENT

97.00

Code 139 CF

3.00

Code 140 ELT

5.55

Code 227 LAUND

3.18

Code 366 TD D2

17.82

Code 325 INEXM

25.00

Code 326 G ADJ

385.90

TOTAL NEEDS

$599.88

Less Income (SSA/SSI)

564.00

Monthly Benefit

$ 35.88

Calculate amount of IPE as follows:

Determine the number of days in the prorate period. The first day of the prorate period is 30 days after the date of application (July 31). The last date of the period is the day before the first day of the first regular roll month (August 31). The
prorate period is 32 days. Use only the August income that is received during the IPE period (see WAG 11-02-06-a).